Ay blɔd prɛshɔn, ɔ "prɛshɔn" as wi ɔl no, na wɛlbɔdi prɔblɛm we bɔku pipul dɛn na wi kɔntri de gɛt naw. So, yu dɔktɔ go dɔn gi yu mɛrɛsin fɔ kɔntrol yu blɔd prɛshɔn. Sɔntɛnde, instead fɔ gi yu wan mɛrɛsin, dɛn kin gi yu wan kɔmbayn pil we de miks tu mɛrɛsin. Tide, wi go tɔk bɔt wan pan dɛn kayn mɛrɛsin ya, we dɛn jɔyn tu mɛrɛsin dɛn we dɛn kɔl Hydrochlorothiazide ɛn Methyldopa.
Wetin kin rili apin wit dis mɛrɛsin?
Fɔ tɔk am simpul wan, dis na tu mɛrɛsin dɛn we dɛn kin gi fɔ kɔntrol ay blɔd prɛshɔn.
1. Hydrochlorothiazide: Dis na wan kayn mɛrɛsin we wi kin kɔl "wata pil." We wi de tɔk bɔt mɛrɛsin, na "diuretic." I de wok bay we i de pul di wata ɛn sɔl we pasmak na di bɔdi tru di urine. Dis kin mek di prɛshɔn we de insay di blɔd vesel dɛn nɔ bɔku.
2. Methyldopa: Dis mɛrɛsin de wok bay we i de afɛkt yu bren ɛn yu nervɔs sistɛm. I de mek di blɔd vesel dɛn rilaks, ɛn dis de mek di blɔd nɔ ebul fɔ flɔ. Dis kin ɛp bak fɔ kɔntrol blɔd prɛshɔn.
We dɛn put dɛn tu mɛrɛsin ya togɛda, dɛn kin gɛt bɛtɛ tin fɔ du fɔ kɔntrol di ay blɔd prɛshɔn.
Tin dɛm wae yu fɔ tɛl yu dɔktɔ bifo yu bigin fɔ tek mɛrɛsin
Bifo yu gi yu dis mɛrɛsin, i rili impɔtant fɔ mek yu dɔktɔ no yu kɔmplit wɛlbɔdi istri. Mek shɔ se yu tɛl am bɔt ɛni wan pan di kɔndishɔn dɛn we de dɔŋ ya.
| Yu wɛlbɔdi kɔndishɔn | Wetin mek yu fɔ tɛl pipul dɛn? |
|---|---|
| Liva ɔ kidni sik | Bikɔs dɛn kin pul dɛn mɛrɛsin ya kɔmɔt na di bɔdi tru dɛn ɔgan ya, if dɛn nɔ ebul fɔ wok fayn, dɛn kin nid fɔ chenj di doz fɔ di mɛrɛsin. |
| Shuga | Dis mɛrɛsin kin mek di blɔd shuga go ɔp smɔl, so i kin afɛkt di we aw pɔsin kin kɔntrol dayabitis. |
| Gout we pɔsin kin gɛt | Hydrochlorothiazide, we de insay di mɛrɛsin, kin mek di yurik asid lɛvɛl go ɔp ɛn mek di gaut wɔs. |
| Anemia we nɔ gɛt bɛtɛ blɔd | Sɔntɛnde, mɛtildopa kin afɛkt di rɛd blɔd sɛl dɛn. |
| Imyun sistεm sik dεm (e.g. lupus) . | Smɔl chans de fɔ mek dis mɛrɛsin go mek dɛn kayn tin ya wɔs. |
| Alɛji fɔ sɔlfa drɔgs, ɔda mɛrɛsin, ɔ it. | Hydrochlorothiazide na sɔlfa drɔg, so i kin mek yu gɛt alɛji. |
| If yu gɛt bɛlɛ, yu de tray fɔ gɛt bɛlɛ, ɔ yu de gi pikin in bɛlɛ. | I impɔtant fɔ tɔk to yu dɔktɔ bɔt aw dis mɛrɛsin sef insay dɛn tɛm ya. |
| If yu dɔn tek wan MAOI mɛrɛsin insay di pas 14 dez. | Dis na mɛrɛsin fɔ pwɛl hat. If yu tek dɛn togɛda, dat kin rili denja. |
Aw a fɔ yuz dis mɛrɛsin?
- Dis mɛrɛsin na tablɛt we dɛn kin tek bay mɔt. Tek am ɛvride, di tɛm we dɛn tɛl yu fɔ tek am, lɛk aw yu dɔktɔ tɛl yu fɔ tek am.
- If yu gɛt bɛlɛ at, tek am wit it.
- Nɔ stɔp fɔ tek di mɛrɛsin wantɛm wantɛm if yu nɔ gɛt dɔktɔ advays. Yu blɔd prɛshɔn kin go ɔp wantɛm wantɛm.
- Pikin dɛn kin nid spɛshal kia we dɛn de tek dis mɛrɛsin. Tɔk to yu dɔktɔ bɔt dis.
Impɔtant: If yu gɛt ivin smɔl saspek se yu dɔn tek mɔ mɛrɛsin pas aw yu tink, go na di ɔspitul ETU (Imergency Treatment Unit) we de nia yu wantɛm wantɛm. Ɔ kɔl di Nashɔnal Pɔyzin Infɔmeshɔn Sɛnta na di Kɔlɔmbɔ Nashɔnal Ospital .
Dɛn dɔn gi yu dis mɛrɛsin fɔ yu nɔmɔ.Nɔ ɛva gi yu mɛrɛsin to ɔda pɔsin, ilɛksɛf yu tink se da pɔsin de gɛt di sem sik we yu gɛt.
Wetin a go du if a mis wan doz fɔ tek mɛrɛsin?
If yu fɔgɛt fɔ tek wan doz, tek am jɔs lɛk aw yu mɛmba. Bɔt if i dɔn lɛf smɔl fɔ lɛ yu tek yu nɛks doz, skip di doz we yu mis ɛn tek yu nɛks doz di tɛm we yu dɔn sɛtul. Nɔ ɛva tek dabl doz.
Ɔda tin dɛm wae kin miks wit dis mɛrɛsin
I rili impɔtant fɔ tɛl yu dɔktɔ bɔt ɔl di mɛrɛsin dɛn we yu de tek, nɔto jɔs di mɛrɛsin dɛn we yu de tek, bɔt di mɛrɛsin dɛn we yu kin bay, vaytamɛn dɛn, tradishɔnal mɛrɛsin dɛn, ɛn ɔl ɔda tin dɛn we yu de yuz. Bikɔs sɔm tin dɛn kin miks wit dɛn mɛrɛsin ya.
| Tin dɛn we dɛn nɔ fɔ ɛva tek togɛda | |
|---|---|
| MAOI tayp mɛrɛsin | (Ɛgzampul: Kabɛks, Ɛldepril, Maplan, Nardil, Parnate). If yu tek dɛn tin ya togɛda, dat kin mek yu blɔd prɛshɔn go ɔp bad bad wan. |
| Tin dɛm fɔ yuz wit kɔt ɛn pɔsibul intarakshɔn dɛm | |
| Rum | I kin chenj di tin dɛn we di mɛrɛsin kin du ɛn i kin mek pɔsin in ed de tɔn ɛn slip mɔ. |
| Di mɛrɛsin dɛn we de mek pɔsin fil pen (NSAIDS) . | (Ɛks: Ibuprofen, Naproksen). Dɛn tin ya kin mek di blɔd prɛshɔn mɛrɛsin nɔ wok fayn. |
| Sɔl dɛn we gɛt ayɛn | ayron de mek di bכdi nכ de abzכp mεtildopa (dεn εksplen dis dכn dכn). |
| Ɔda blɔd prɛshɔn mɛrɛsin ɛn diuretik | Di prɛshɔn kin tu smɔl. If di dɔktɔ no bɔt am, prɔblɛm nɔ de. |
| Litiɔm we dɛn kɔl | Di lithium lɛvɛl na di bɔdi kin bi denja fɔ ay. |
| Barbiturates, anestetik we dɛn kin yuz we dɛn de du ɔpreshɔn, stɛroyd | Dɛn tin ya kin miks bak wit dis mɛrɛsin. |
Tin dɛn we yu fɔ mɛmba we yu de tek mɛrɛsin
Fɔ slip ɛn diziz
Yu kin fil fɔ slip ɔ yu kin gɛt diziz we yu fɔs bigin fɔ tek dis mɛrɛsin. Nɔ drayv ɔ yuz mashin te yu no aw dis mɛrɛsin de afɛkt yu. Ɛspɛshali if yu dɔn ol, tinap sloslo we yu grap we yu sidɔm ɔ we yu kɔmɔt na bed. Dis kin mek yu diziz ɛn fɔdɔm. Nɔ drink rɔm, bikɔs i kin mek dis sik wɔs.
Di wata we de insay di bɔdi
If yu gɛt dayarɛa ɔltɛm, yu de vɔmit, ɔ yu de swet pasmak, yu go lɔs bɔku wata na yu bɔdi ɛn yu nɔ go gɛt wata na yu bɔdi. If na so i bi, i kin denja fɔ yuz dis mɛrɛsin. Aks yu dɔktɔ wetin fɔ du we dis kayn tin apin.
Skin ɛn di san layt
Dis mɛrɛsin kin mek yu skin fil bad fɔ di san. Dis min se yu kin bɔn ɛn rɛd izi wan. So nɔ de na di san as yu ebul. If yu de go na do, wɛr klos we de kɔba yu skin, wɛr sanglas, ɛn yuz sanskrin. Tɔk bak to yu dɔktɔ bɔt yu risk fɔ gɛt kansa na yu skin we yu de tek dis mɛrɛsin.
Tek tɛm mɔ if yu de tek ayɛn pils.
Dis na impɔtant tin if yu de tek ayɛn pils fɔ sɔntin lɛk anemia. Ayɔn de mek di bɔdi nɔ ebul fɔ tek di Methyldopa komponent we de insay dis mɛrɛsin. So, nɔ tek ayɔn pils ɛn dis blɔd prɛshɔn mɛrɛsin di sem tɛm. Di bɛst we na fɔ tek di ayɛn pil 2 awa bifo ɔ 6 awa afta yu tek di blɔd prɛshɔn mɛrɛsin.
Us sayd ɛfɛkt dɛn we a go gɛt?
Lɛk ɛni mɛrɛsin, dis kin mek sɔm sayd ɛfɛkt, pan ɔl we nɔto ɔlman kin gɛt dɛn.
| Sayd ɛfɛkt dɛm we yu fɔ ripɔt to yu dɔktɔ wantɛm wantɛm | |
|---|---|
| Alɛji we pɔsin kin gɛt | Skin rash, i de it bad bad wan, yu fes, yu lip ɔ yu tɔng de swel. |
| I nɔ izi fɔ blo, pen na yu chɛst | Dɛn tin ya kin bi siriɔs sayn dɛm. |
| di yay we de yɔlɔ, di skin we de yɔlɔ, di urine we gɛt dak kɔlɔ, di stɔl we gɛt layt kɔlɔ | Dɛn tin ya kin bi sayn dɛn we de sho se pɔsin gɛt prɔblɛm wit in liva. |
| Diziz bad bad wan, yu de si chenj, yu yay de pen | E kin bi sayn wae de sho se pɔrsin de prɛshɔ pasmak, mɔr lɛk na di yay. |
| Brus we nɔ ɛksplen, blɔd, fiva, bɔdi pen | Sɔntɛm di blɔd sɛl dɛn bin afɛkt. |
| swel na di leg ɔ ankles, di urine we de kɔmɔt na di bɔdi nɔ de kɔmɔt fayn | Dɛn tin ya kin bi sayn dɛm fɔ kidni ɔ at prɔblɛm. |
| Sayd ɛfɛkt dɛm we dɛn fɔ ripɔt to di dɔktɔ if dɛn kɔntinyu ɔ de mɔna am | |
| Dray mɔt | Gɛt fridɔm bay we yu de it gɔm, kandy, ɔ wata we nɔ gɛt shuga. |
| Drowsiness, dayarɛa | Dɛn tin ya kin stɔp as di bɔdi de yus to di mɛrɛsin. |
| Dipreshɔn we pɔsin kin gɛt | I impɔtant fɔ tɛl di dɔktɔ bɔt dis. |
| Chenj pan di we aw pɔsin want fɔ du mami ɛn dadi biznɛs ɔ di tin dɛn we i de du | Dis na kɔmɔn sayd ɛfɛkt bak. |
| di brεst de big כ di milk we de kכmכt na man εn uman | Dis kin bi bikɔs ɔf di ifɛkt dɛn we mɛtildopa gɛt. |
Mɛsej we dɛn kin kɛr go na os
- Dis na tu mɛrɛsin dɛn we dɛn kin gi fɔ kɔntrol ay blɔd prɛshɔn.
- Tek yu mɛrɛsin di sem tɛm ɛvride, jɔs lɛk aw yu dɔktɔ tɛl yu. Nɔ stɔp fɔ tek am bay yu yon sɛns.
- Tɛl yu dɔktɔ bɔt ɔl di ɔda mɛrɛsin dɛn we yu de tek ɛn ɛni ɔda sik we yu gɛt.
- We yu de tek di mɛrɛsin, na fɔ no bɔt tin dɛn lɛk fɔ slip, fɔ gɛt diziz, ɛn fɔ fil bad we di san de shayn.
- If yu gɛt ɛni siriɔs sayd ɛfɛkt, lɛk bad bad alɛji, chɛst pen, ɔ yu yay ɛn skin yɔlɔ, go to dɔktɔ wantɛm wantɛm.
- If yu de tek ayɛn pils, nɔ tek am wit dis mɛrɛsin. Kip sɔm awa bitwin dɛn.
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